... that but how can I help him? I want to respect his privacy but I worry that he isn't telling his doctors all of his symptoms. If he's already having symptoms, should he be in some kind of treatment? I don't know if he is in denial or not but I suspect he is as he just says he's in the early stages and no treatment is necessary. But he already has scarring of his bone marrow, pain in his bones and joints, an enlarged spleen and liver and fatigue. Those sound like symptoms to me that need treatment.